A 33-year-old man complains of increased thirst, fatigue, and occasional heart palpitations unrelated to activity for the past 2 months. In the past, he has been healthy and has had no known medical conditions. BP on this visit is elevated at 158/96 mm Hg. Initial ECG evaluation is within normal limits. Key features in the diagnosis of primary hyperaldosteronism do not include:
A. Metabolic acidosis
B. Unprovoked hypokalemia
C. Low plasma renin activity
D. High aldosterone
E. HTN
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